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Impact of diabetes on physical function in older people

Sinclair, Alan J., Conroy, Simon P. and Bayer, Antony James 2008. Impact of diabetes on physical function in older people. Diabetes Care 31 (2) , pp. 233-235. 10.2337/dc07-1784

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Abstract

OBJECTIVE—To explore the nature of functional impairment in older people with diabetes. RESEARCH DESIGN AND METHODS—A population-based case-control study with detailed assessment of diabetes and functional status was undertaken. RESULTS—Altogether, 403 case subjects and 403 matched control subjects were studied (median age 75 years, 51% female). Subjects with diabetes had more comorbidities than control subjects (mean 2.5 vs. 1.9, P < 0.0001) and were more likely to have severe functional impairment (4 vs. 1%, Barthel score <5, P < 0.001). Health status pertaining to physical function was reduced in case subjects (SF36 60 vs. 40, P < 0.0001). In a multivariate model controlling for age, hypertension, cerebrovascular disease, chronic obstructive pulmonary disease, cancer, osteoarthritis, and dementia, diabetes remained significantly associated with mobility limitation (odds ratio 2.1, P < 0.001). CONCLUSIONS—Older people with diabetes have considerable functional impairment associated with reduced health status. This population may benefit from comprehensive geriatric assessment and tailored diabetes management.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Uncontrolled Keywords: COPD, chronic obstructive pulmonary disease; IQR, interquartile range
Publisher: American Diabetes Association
ISSN: 0149-5992
Last Modified: 04 Jun 2017 03:59
URI: http://orca.cf.ac.uk/id/eprint/30205

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